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Characterizing preferred terms for geographically distant simulations: distance, remote and telesimulation.

Todd P Chang1, Rachel Elkin2, Tehnaz P Boyle3

  • 1Division of Emergency Medicine & Transport, Children's Hospital Los Angeles/Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

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Summary

Simulationists need standardized terms for remote practices. Current terms like distance, remote, and telesimulation lack consensus, highlighting the need for a clear taxonomy in healthcare simulation.

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Area of Science:

  • Healthcare Simulation
  • Medical Education Technology

Background:

  • Simulationists require standardized terminology for new practices necessitated by pandemic restrictions.
  • A common language is crucial for effective communication among simulationists across diverse settings.

Purpose of the Study:

  • To explore consensus on terminology for simulation practices involving geographic separation of participants, facilitators, or equipment.
  • To address the lack of standardized terms for remote and distance-based simulation.

Main Methods:

  • An iterative consensus process was employed, involving participants from two simulation conferences.
  • Data collection included small group discussions (n=121) and survey ranking (n=54).

Main Results:

  • Leading terms identified were "distance simulation," "remote simulation," and "telesimulation."
  • Each of these terms received support from approximately one-third of participants, indicating a lack of clear consensus.
  • Key interpretive themes included physical separation, the overarching nature of terms, and implications from existing terminology.

Conclusions:

  • Nuances in terminology interpretation prevent immediate consensus on a single term.
  • A taxonomy of descriptors for "distance," "remote," and "telesimulation" is proposed as a preferred alternative.
  • Further conceptual discussion is needed to align terminology with healthcare simulation practices.